Arif Pauzi: Dr, about endometritis and endometriosis, the sign and symptoms, is there any differences between both of it?
Dr Shaiful Ehsan: Assalam arif,
Endometritis and endometriosis are 2 different pathological disorder..
In fact both occur at totally different site...
Endometritis is inflammation or infection of the endometrial lining of UTERUS....which may spread even further to myomterium or ascending or descending to other organs...
Whereby endometriosis is presence of ECTOPIC endometrial tissues OUTSIDE of uterus...
Therefore S&S would be different..
Endometriosis typically presented with secondary dysmenorrhea, dyspareunia, infertility or subfertility and +/- abdominal mass if involving the ovary (endometrioma)
Whereby endometritis patient present with fever, PV discharge or continuous foul smelling PV bleeding...
Typically in postpartum (retained POC) or after septic abortion or IUD...
Endometritis can cause maternal shock and death (due to element of infection / sepsis)
Whereby pure endometriosis not gonna cause death...